Events

As part of our mandate to gather and disseminate evidence and knowledge from global RBF experiences, RBF Health regularly organizes events, including seminars and capacity building workshops.
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Results from the evaluation of the Kyrgyzstan PBF Program

This seminar will present the recently completed randomized impact evaluation of the Performance-Based Financing (PBF) pilot implemented at maternity hospitals in the Kyrgyz Republic. This PBF program is unique in that it only incentivizes the quality, and not the quantity, of maternal and neonatal health services.  Structural and clinical quality is assessed through a comprehensive Balanced Scorecard, and supportive feedback provided to practitioners after every quarterly quality review.

The evaluation contrasts PBF against both enhanced quality supervision - the same Balanced Scorecard approach but without linked financial incentives - and a business-as-usual arm. Program data dedicated independent survey data and a comprehensive national birth registry are all used to speak to the program impact on the health of the mother and the newborn.  Results suggest that both PBF and enhanced supervision improve select dimensions of structural and process quality, but that PBF leads to better health outcomes.

Light lunch will be served.

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Cover Photo: Giacomo Pirozzi/Unicef.

Presenters

Eeshani Kandpal, Economist, World Bank

Eeshani Kandpal is an Economist in the Development Research Group of the World Bank. Her research agenda lies at the intersection of two themes. The first is that average treatment effects often mask the widely divergent impacts of development policy, like health interventions, cash transfers, and empowerment programs. Unintended consequences may bolster or undermine the intended goals of the policy, but economic theory and evidence can help us predict where such consequences may arise. A second theme of her research is that inequality in access to government services or social capital often varies by attributes like gender, wealth, and ethnicity or caste. She led the IE of the HRITF-funded PBF pilot in Nigeria

Jed Friedman, Senior Economist, World Bank

Jed Friedman is a Senior Economist in the Development Research Group (Poverty and Inequality Team) at the World Bank. His research interests include the measurement of wellbeing and poverty as well as the evaluation of health and social policies. Jed's current work involves investigating the effectiveness of health financing reforms in Kyrgyzstan, Zambia, and Zimbabwe; the nutritional and development gains from early childhood investment programs in India and the Philippines; and the incorporation of new approaches to survey-based wellbeing measurement in Peru and Malawi. Jed holds a B.A. in philosophy from Stanford University and a Ph.D. in economics from the University of Michigan.

Chair

Mickey Chopra, Global Solutions Lead for Service Delivery, HNP, World Bank

Dr. Mickey Chopra is currently the Global Solutions Lead for Service Delivery in the Health Nutrition and Population global practice of the World Bank. He leads its work around the organization, management and quality of health services. Previous to this, he was the Chief of Health and Associate Director of Programs at UNICEF’s New York Headquarters. Dr. Chopra is qualified as a medical doctor with an additional degree in medical sociology from the University of Southampton, England, MPH (Primary Health in Developing Countries) at the London School of Hygiene and Tropical Medicine and a Ph.D. from Faculty of Medicine, University of Uppsala in Sweden.

Discussant

Damien De Walque, Senior Economist, World Bank

Damien de Walque is a Senior Economist in the Development Research Group (Human Development Team) at the World Bank. He received his Ph.D.in Economics from the University of Chicago in 2003. His research interests include health and education and the interactions between them. His current work is focused on evaluating the impact of financial incentives on health and education outcomes. He is also working on evaluating the impact of HIV/AIDS interventions and policies in several African countries. On the supply side of health services, he is managing a large portfolio of impact evaluations of results-based financing in the health sector. He has also edited a book on risky behaviors for health (smoking, drugs, alcohol, obesity, risky sex) in the developing world.

Materials